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1.
J Med Internet Res ; 24(3): e32777, 2022 03 08.
Article in English | MEDLINE | ID: covidwho-1770904

ABSTRACT

BACKGROUND: Digital technologies have changed how we manage our health, and eHealth literacy is needed to engage with health technologies. Any eHealth strategy would be ineffective if users' eHealth literacy needs are not addressed. A robust measure of eHealth literacy is essential for understanding these needs. On the basis of the eHealth Literacy Framework, which identified 7 dimensions of eHealth literacy, the eHealth Literacy Questionnaire (eHLQ) was developed. The tool has demonstrated robust psychometric properties in the Danish setting, but validity testing should be an ongoing and accumulative process. OBJECTIVE: This study aims to evaluate validity evidence based on test content, response process, and internal structure of the eHLQ in the Australian community health setting. METHODS: A mixed methods approach was used with cognitive interviewing conducted to examine evidence on test content and response process, whereas a cross-sectional survey was undertaken for evidence on internal structure. Data were collected at 3 diverse community health sites in Victoria, Australia. Psychometric testing included both the classical test theory and item response theory approaches. Methods included Bayesian structural equation modeling for confirmatory factor analysis, internal consistency and test-retest for reliability, and the Bayesian multiple-indicators, multiple-causes model for testing of differential item functioning. RESULTS: Cognitive interviewing identified only 1 confusing term, which was clarified. All items were easy to read and understood as intended. A total of 525 questionnaires were included for psychometric analysis. All scales were homogenous with composite scale reliability ranging from 0.73 to 0.90. The intraclass correlation coefficient for test-retest reliability for the 7 scales ranged from 0.72 to 0.95. A 7-factor Bayesian structural equation modeling using small variance priors for cross-loadings and residual covariances was fitted to the data, and the model of interest produced a satisfactory fit (posterior productive P=.49, 95% CI for the difference between observed and replicated chi-square values -101.40 to 108.83, prior-posterior productive P=.92). All items loaded on the relevant factor, with loadings ranging from 0.36 to 0.94. No significant cross-loading was found. There was no evidence of differential item functioning for administration format, site area, and health setting. However, discriminant validity was not well established for scales 1, 3, 5, 6, and 7. Item response theory analysis found that all items provided precise information at different trait levels, except for 1 item. All items demonstrated different sensitivity to different trait levels and represented a range of difficulty levels. CONCLUSIONS: The evidence suggests that the eHLQ is a tool with robust psychometric properties and further investigation of discriminant validity is recommended. It is ready to be used to identify eHealth literacy strengths and challenges and assist the development of digital health interventions to ensure that people with limited digital access and skills are not left behind.


Subject(s)
Health Literacy , Telemedicine , Australia , Bayes Theorem , Cross-Sectional Studies , Health Literacy/methods , Humans , Psychometrics/methods , Public Health , Reproducibility of Results , Surveys and Questionnaires , Telemedicine/methods
2.
Prim Care Companion CNS Disord ; 24(2)2022 Mar 22.
Article in English | MEDLINE | ID: covidwho-1766039

ABSTRACT

Objective: Prevalence of insomnia has been high during the coronavirus disease 2019 pandemic, especially in health care workers. The 7-item Insomnia Severity Index (ISI) is the most commonly used tool to assess insomnia severity and its impact. The ISI has not been translated and validated for use among Telugu-speaking health care workers. The objective of this study was to explore the factor structure of the Telugu-translated version of the ISI, administered among primary care health workers in rural Telangana, India.Methods: The Telugu version of the ISI was administered to 315 grass-root primary care health workers in rural primary health centers of 5 districts of Telangana. Exploratory factor analysis was conducted to measure the factor structure of the translated version of the ISI. Data were collected in August 2021.Results: The principal component analysis showed that the 7 items of the scale significantly loaded on to 1 latent factor with an eigenvalue of 4.036, explaining 57.66% of the total variance. The factor reliability (Cronbach α) was 0.876.Conclusions: The results show that the Telugu translated version of the ISI conforms to previously found factor solutions and is valid to assess insomnia severity in primary care health workers.


Subject(s)
COVID-19 , Sleep Initiation and Maintenance Disorders , Humans , Pandemics , Primary Health Care , Psychometrics/methods , Reproducibility of Results , Severity of Illness Index , Sleep Initiation and Maintenance Disorders/diagnosis
3.
BMJ Open ; 12(3): e060826, 2022 03 07.
Article in English | MEDLINE | ID: covidwho-1731283

ABSTRACT

INTRODUCTION: As the prevalence of Long COVID increases, there is a critical need for a comprehensive assessment of disability. Our aims are to: (1) characterise disability experiences among people living with Long COVID in Canada, UK, USA and Ireland; and (2) develop a patient-reported outcome measure to assess the presence, severity and episodic nature of disability with Long COVID. METHODS AND ANALYSIS: In phase 1, we will conduct semistructured interviews with adults living with Long COVID to explore experiences of disability (dimensions, uncertainty, trajectories, influencing contextual factors) and establish an episodic disability (ED) framework in the context of Long COVID (n~10 each country). Using the conceptual framework, we will establish the Long COVID Episodic Disability Questionnaire (EDQ). In phase 2, we will examine the validity (construct, structural) and reliability (internal consistency, test-retest) of the EDQ for use in Long COVID. We will electronically administer the EDQ and four health status criterion measures with adults living with Long COVID, and readminister the EDQ 1 week later (n~170 each country). We will use Rasch analysis to refine the EDQ, and confirm structural and cross-cultural validity. We will calculate Cronbach's alphas (internal consistency reliability), and intraclass correlation coefficients (test-retest reliability), and examine correlations for hypotheses theorising relationships between EDQ and criterion measure scores (construct validity). Using phase 2 data, we will characterise the profile of disability using structural equation modelling techniques to examine relationships between dimensions of disability and the influence of intrinsic and extrinsic contextual factors. This research involves an academic-clinical-community partnership building on foundational work in ED measurement, Long COVID and rehabilitation. ETHICS AND DISSEMINATION: This study was approved by the University of Toronto Research Ethics Board. Knowledge translation will occur with community collaborators in the form of presentations and publications in open access peer-reviewed journals and presentations.


Subject(s)
COVID-19 , HIV Infections , Adult , COVID-19/complications , Concept Formation , Disability Evaluation , HIV Infections/rehabilitation , Humans , Psychometrics/methods , Reproducibility of Results , SARS-CoV-2 , Surveys and Questionnaires
4.
Rev Peru Med Exp Salud Publica ; 38(4): 512-520, 2021.
Article in Spanish, English | MEDLINE | ID: covidwho-1698965

ABSTRACT

OBJECTIVE.: To design and validate an instrument to assess the perceived risk of contracting COVID-19 in the Colombian population. MATERIALS AND METHODS.: Cross-sectional observational study of psychometric type with a sample of 2350 people between 16 and 65 years of age. The dimensions and items were proposed based the review of previous studies on the evaluation of risk perception of disease and disasters, by integrating the guidelines issued by the World Health Organization regarding self-protection measures and biosecurity protocols to avoid COVID-19 transmission. The validation process was carried out in two stages; the first stage included a review by expert judges who evaluated the clarity, sufficiency, and relevance of each item in relation to the variable and its dimension; in the second stage we carried out a confirmatory factor analysis and estimated internal consistency with the Cronbach's Alpha (α) and McDonald's omega (ω) indexes. RESULTS.: The designed instrument had adequate psychometric properties to evaluate the risk perception of contracting COVID-19 (α=0.924), with four dimensions: cognitive vulnerability (α=0.873), emotional vulnerability (α=0.882), severity (α=0.893) and risk-protective behaviors (α=0.941). CONCLUSIONS.: These findings show that the instrument to evaluate the risk perception of contracting COVID-19 (PCR-CV19) is a valid and reliable tool to assess contagion risk perception and can be adapted to different population groups and contexts.


OBJETIVOS.: Diseñar y validar un instrumento para evaluar la percepción de riesgo de contagio de COVID-19 en población colombiana. MATERIALES Y MÉTODOS.: Estudio observacional transversal de tipo psicométrico con una muestra de 2350 personas entre los 16 a 65 años, se propusieron las dimensiones e ítems a partir de la revisión de estudios previos sobre la evaluación de la percepción de riesgo en enfermedad y desastres, integrando los lineamientos expuestos por la Organización Mundial de la Salud respecto a las medidas de autoprotección y protocolos de bioseguridad para evitar el contagio de la COVID-19. El proceso de validación ocurrió en dos momentos, primero con una revisión por jueces expertos que evaluaron claridad, suficiencia y pertinencia de cada ítem con respecto a la variable y su dimensión; en segundo momento un análisis factorial confirmatorio y se estimó la consistencia interna con los índices de alpha de Cronbach (α) y omega de McDonald (ω). RESULTADOS.: El instrumento elaborado tuvo adecuadas propiedades psicométricas para evaluar la percepción de riesgo de contagio de COVID-19 (α=0,924), con cuatro dimensiones: vulnerabilidad cognitiva (α=0,873); vulnerabilidad emocional (α=0,882); gravedad (α=0,893) y las conductas de riesgo-protección (α=0,941). CONCLUSIONES.: Los hallazgos muestran que el instrumento de percepción de riesgo de contagio de COVID-19 (PCR-CV19) es una herramienta válida y confiable para evaluar la percepción de riesgo contagio, el cual puede ser adaptado en diferentes grupos poblacionales y contextos.


Subject(s)
COVID-19 , COVID-19/epidemiology , Colombia/epidemiology , Cross-Sectional Studies , Humans , Psychometrics/methods , Reproducibility of Results , Surveys and Questionnaires
5.
Nurs Open ; 9(1): 320-328, 2022 01.
Article in English | MEDLINE | ID: covidwho-1599319

ABSTRACT

AIM: This study aims to develop a reliable and validate Chinese version of Oldenburg Burnout Inventory (OLBI). DESIGN: A cross-sectional validation design was adopted in this study. METHODS: After obtaining the copyright by contacting with the author, the original English OLBI was developed to Chinese by forward translation, back-translation, cultural adaptation and a pre-test (20 nurses). The Chinese OLBI and Maslach Burnout Inventory (MBI) were administered to 641 clinical nurses during July and August, 2020. Internal consistency (Cronbach's α coefficient), split reliability (split half coefficient), construct validity (confirmatory factor analysis) and criterion validity (comparison with MBI, using Pearson correlation analysis) were assessed. RESULTS: The Chinese OLBI included 16 items. Exploratory factor analysis extracted two factors with a cumulative contribution of 62.245%. Two-dimensional structure (exhaustion and disengagement) was confirmed. It has good internal consistency (Cronbach's α coefficient values of 0.905, 0.933 and 0.876 for the total questionnaire, exhaustion dimension and disengagement dimension, respectively), split half reliability (split half coefficient = 0.883, p < .01) and criterion validity (r = 0.873, p < .01). Pearson coefficients between 16 items and the scale varied from 0.479-0.765. An acceptable model fit (χ2 /df = 2.49, RMSEA = 0.068, TLI = 0.906, CFI = 0.922, SRMR = 0.061) was achieved.


Subject(s)
Burnout, Psychological , China , Cross-Sectional Studies , Humans , Psychometrics/methods , Reproducibility of Results
6.
PLoS One ; 16(12): e0261590, 2021.
Article in English | MEDLINE | ID: covidwho-1598523

ABSTRACT

This study investigated the reliability and factorial validity of General Anxiety Disorder-7 (GAD-7) in the context of university students in Bangladesh. The research aimed to assess whether the original one-dimensional model or a model containing both somatic and cognitive-emotional factors is appropriate. A repeated cross-sectional survey design based on convenience sampling was used to collect data from 677 university students. The factor structure of the GAD-7 was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and its convergent validity was determined by investigating its correlations with Patient Health Questionnaire-9 (PHQ-9) and Patient Health Questionnaire Anxiety-Depression Scale (PHQ-ADS). Results showed excellent reliability of GAD-7 as measured by Cronbach's α. CFA suggested that a modified one-factor model is appropriate for the sample. This model provided high values of comparative fit index (CFI), goodness of fit index (GFI), and Tucker Lewis Index (TLI), low value of standardized root mean square residual (SRMR) and a non-significant root mean square error of approximation (RMSEA). Correlation between GAD-7 and PHQ-9 was 0.751 and 0.934 between GAD-7 and PHQ-ADS. Overall, the study provided support for modified unidimensional structure for GAD-7 and showed high internal consistency along with good convergent validity.


Subject(s)
Anxiety Disorders/diagnosis , Anxiety Disorders/psychology , Patient Health Questionnaire , Psychometrics/methods , Adolescent , Adult , Bangladesh , Cross-Sectional Studies , Depressive Disorder/diagnosis , Depressive Disorder/psychology , Female , Humans , Male , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/psychology , Reproducibility of Results , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/psychology , Students/psychology , Universities , Young Adult
7.
PLoS One ; 16(12): e0261745, 2021.
Article in English | MEDLINE | ID: covidwho-1598351

ABSTRACT

BACKGROUND: COVID-19 pandemic has had a global major healthcare, social and economic impact. In present study we aim to adapt the Fear of COVID-19 Scale to Hungarian. MATERIALS AND METHODS: Forward-backward translation method was used to translate the English version of the scale to Hungarian. Participants were a convenience sample of 2175 university students and employees. The study was conducted between January 18th and February 12th 2021. The test battery included Hungarian versions of Fear of COVID-19 scale, short Beck Depression Inventory (BDI-H) and State-Trait Anxiety Inventory (STAI). RESULTS: The scale showed one-factor structure, the loadings on the factor were significant and strong (from .47 to .84). Internal consistency was very good (α = .84). Construct validity for the Fear of COVID-19 Scale was supported by significant and positive correlations with STAI (r = 0.402; p < 0.001) and BDI-H (r = 0.270; p < 0.001). CONCLUSION: The Hungarian version of Fear of COVID-19 Scale is a reliable and valid tool in assessing fear of coronavirus.


Subject(s)
COVID-19/epidemiology , COVID-19/psychology , Fear/psychology , Pandemics , Psychiatric Status Rating Scales/standards , Psychometrics/methods , SARS-CoV-2 , Adult , Aged , Aged, 80 and over , Anxiety/epidemiology , Anxiety/psychology , COVID-19/virology , Faculty/psychology , Female , Humans , Hungary/epidemiology , Male , Middle Aged , Reproducibility of Results , Students/psychology , Surveys and Questionnaires , Young Adult
8.
PLoS One ; 16(12): e0261733, 2021.
Article in English | MEDLINE | ID: covidwho-1581733

ABSTRACT

The Covid-19 pandemic has highlighted the importance of citizens' behaviors in the containment of the virus. Individuals might change their intention to adhere to public health prescriptions depending on various personal characteristics, including their own emotional status, which has been recognized to be a crucial psychological factor in orienting people's adherence to public health recommendation during emergency settings. In particular, it is crucial to support citizens' alliance with authorities and feeling of trust: public engagement is a concept that refers to the general involvement of citizens into public affairs which is generally considered an effective approach to enhance citizens' understanding of their crucial role in public affairs. However, so far there is no agreement on the metrics and indexes that should be used to measures public engagement during a health crisis. The aim of this paper is to validate a psychometric scale (PHEs-E), which intends to measure the readiness of individuals to adhere to the prescribed behavioral change to contain the emergency. Data were collected throughout the pandemic in Italy: in particular, five independent samples were recruited starting from March 2020 to March 2021. Results showed that the proposed measure has good psychometric characteristics. A general linear model was computed to assess the differences of public engagement across the different data points and among citizens with different sociodemographic characteristics. Correlations with other psychological constructs (i.e. Anxiety, Depression and Self-Efficacy) were also tested, showing that more engaged citizens have a lower level of anxiety and depression, and a higher self-efficacy. This study's findings indicate that individuals' characteristics may differentiate citizens' motivation to engage in public health behavioral recommendation to prevent the COVID-19 contagion. However the scale could be useful to perform a psychological monitoring of psychological readiness to engage in public health strategies to face critical events and settings.


Subject(s)
COVID-19/psychology , Psychometrics/methods , Stakeholder Participation/psychology , Adult , Aged , COVID-19/prevention & control , Community Participation , Cross-Sectional Studies , Emergencies , Female , Guideline Adherence/trends , Humans , Italy/epidemiology , Male , Middle Aged , Models, Theoretical , Pandemics/prevention & control , Patient Compliance/psychology , Public Health/trends , SARS-CoV-2/pathogenicity
9.
PLoS One ; 16(12): e0260459, 2021.
Article in English | MEDLINE | ID: covidwho-1546956

ABSTRACT

The COVID Stress Scales (CSS) were developed to measure stress in response to the COVID-19 pandemic. To further investigate the psychometric properties of the CSS, we used data collected in Poland across two waves of assessment (N = 556 at T1 and N = 264 at T2) to evaluate the factor structure, reliability (at the item and scale level), measurement invariance (across the Polish and Dutch translations of the CSS, and time), over time stability, and external associations of the Polish-language version of the CSS (CSS-PL). Overall, results suggest that the CSS-PL is psychometrically robust, largely invariant across the countries and time-lags considered. The CSS-PL was also positively related to other measures of COVID-19 fear, health anxiety, obsessive compulsive symptoms, anxiety, depression, and intent to receive a COVID-19 vaccine. This study thus provides considerable information about the CSS's items and scales, and lays the foundation for future investigations into COVID stress across time and different populations.


Subject(s)
Psychometrics/methods , Stress, Psychological , Adolescent , Adult , Aged , Aged, 80 and over , Anxiety/pathology , COVID-19/epidemiology , COVID-19/virology , Female , Humans , Male , Middle Aged , Poland , SARS-CoV-2/isolation & purification , Translating , Vaccination/psychology , Young Adult
10.
PLoS One ; 16(11): e0260355, 2021.
Article in English | MEDLINE | ID: covidwho-1533421

ABSTRACT

Literature reports that fear and anxiety related to the coronavirus (COVID-19) pandemic may be a significant factor in promoting adherence to health-protective behaviours. This study aimed to validate an Arabic version of the Coronavirus Anxiety Scale (CAS). Participants aged 18 to 58 years of age were recruited from a university population (students and staff) as well as via social media from 22 June to 18 July 2020 when the United Arab Emirates was under a partial government-instituted lockdown. They completed Arabic versions of the CAS and the Fear of COVID-19 Scale. A confirmatory factor analysis produced a unidimensional structure and all items satisfactorily loaded onto this single factor (i.e., the physiological symptoms of fear and anxiety related to coronavirus). The Arabic CAS was internally consistent and concurrently valid. These preliminary findings suggest that the Arabic CAS is a valid and reliable instrument to employ in the assessment of dysfunctional anxiety related to coronavirus. The availability of this validated measure will enable the further conduct of a variety of mental health studies in relation to the COVID-19 pandemic. It also holds clinical utility as a potential screening measure for those afflicted by anxiety symptomology during the pandemic.


Subject(s)
Anxiety/diagnosis , COVID-19/complications , Fear/psychology , Psychometrics/methods , SARS-CoV-2/physiology , Adolescent , Adult , Anxiety/etiology , Anxiety/psychology , Cross-Sectional Studies , Factor Analysis, Statistical , Female , Humans , Male , Middle Aged , Surveys and Questionnaires , United Arab Emirates/epidemiology , Young Adult
11.
Clin Nurs Res ; 31(3): 404-412, 2022 03.
Article in English | MEDLINE | ID: covidwho-1533195

ABSTRACT

The current study was planned to test the validity and reliability of the Turkish version of the COVID-19 Literacy Scale. The sample of the study was taken from 473 individuals. In this study, language validity, content validity and construct validity were examined to determine the validity of the scale. Its reliability was evaluated by internal consistency, split-half reliability, and test-retest reliability method. It was defined that the scale has a two-factor structure as a result of EFA and its factor loadings are in the appropriate range (0.852-0.324). According to the CFA result, it was determined that the model-data fit was at a good level. The Cronbach values for the whole scale and subscales were .92, .90, and .87, respectively. It was observed that the test-retest value was .95. It was concluded that the Turkish form of the COVID-19 Literacy Scale is a reliable and valid tool.


Subject(s)
COVID-19 , Language , COVID-19/epidemiology , Humans , Literacy , Psychometrics/methods , Reproducibility of Results , Surveys and Questionnaires
12.
PLoS One ; 16(11): e0260248, 2021.
Article in English | MEDLINE | ID: covidwho-1526699

ABSTRACT

During the outbreak of the novel COVID-19 pandemic, economies around the world underwent unprecedented changes, which negatively limited young people's perceptions of their future. The study aims to describe the development and validation of the 10-item COVID-19 Future Impact Perception Scale (C-19FIPS), a measurement tool to assess future impact perception related to COVID-19, among university students. Inductive and deductive approaches were used at the phase of the scale development process. Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA) applying two different SEM based analytical methods, covariance-based SEM (CB-SEM) and variance based SEM (PLS-SEM) were used to explore and predict the data. The EFA output generated two dimensions with 10 items. The dimensions are Personal Perception (C-19 PF) and Country Perception (C-19 CF) that reflects the notion of Future Impact Perception related to COVID-19. The result of the CFA confirmed the EFA result. Based on the reliability and validity check results, it is apparent that the scale demonstrates good psychometric properties. Evidence was also provided for convergent and discriminant validity. The study provided a short, valid and reliable measure to assess the impact of the COVID-19 pandemic on college students' future perceptions. Knowing how external situations influence the world of young people is useful for the development of targeted interventions that favor their well-being and that can support them in situations perceived as uncertain and risky. Limitations and future lines are discussed.


Subject(s)
Attitude , COVID-19/psychology , Psychometrics/methods , Students/psychology , Adult , COVID-19/epidemiology , Female , Humans , Male , Psychometrics/standards , Students/statistics & numerical data , Uncertainty , Universities/statistics & numerical data
13.
JAMA Netw Open ; 4(11): e2134315, 2021 11 01.
Article in English | MEDLINE | ID: covidwho-1513768

ABSTRACT

Importance: The COVID-19 pandemic has placed increased strain on health care workers and disrupted childcare and schooling arrangements in unprecedented ways. As substantial gender inequalities existed in medicine before the pandemic, physician mothers may be at particular risk for adverse professional and psychological consequences. Objective: To assess gender differences in work-family factors and mental health among physician parents during the COVID-19 pandemic. Design, Setting, and Participants: This prospective cohort study included 276 US physicians enrolled in the Intern Health Study since their first year of residency training. Physicians who had participated in the primary study as interns during the 2007 to 2008 and 2008 to 2009 academic years and opted into a secondary longitudinal follow-up study were invited to complete an online survey in August 2018 and August 2020. Exposures: Work-family experience included 3 single-item questions and the Work and Family Conflict Scale, and mental health symptoms included the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 scale. Main Outcomes and Measures: The primary outcomes were work-to-family and family-to-work conflict and depressive symptoms and anxiety symptoms during August 2020. Depressive symptoms between 2018 (before the COVID-19 pandemic) and 2020 (during the COVID-19 pandemic) were compared by gender. Results: Among 215 physician parents who completed the August 2020 survey, 114 (53.0%) were female and the weighted mean (SD) age was 40.1 (3.57) years. Among physician parents, women were more likely to be responsible for childcare or schooling (24.6% [95% CI, 19.0%-30.2%] vs 0.8% [95% CI, 0.01%-2.1%]; P < .001) and household tasks (31.4% [95% CI, 25.4%-37.4%] vs 7.2% [95% CI, 3.5%-10.9%]; P < .001) during the pandemic compared with men. Women were also more likely than men to work primarily from home (40.9% [95% CI, 35.1%-46.8%] vs 22.0% [95% CI, 17.2%-26.8%]; P < .001) and reduce their work hours (19.4% [95% CI, 14.7%-24.1%] vs 9.4% [95% CI, 6.0%-12.8%]; P = .007). Women experienced greater work-to-family conflict (ß = 2.79; 95% CI, 1.00 to 4.59; P = .03), family-to-work conflict (ß = 3.09; 95% CI, 1.18-4.99; P = .02), and depressive (ß = 1.76; 95% CI, 0.56-2.95; P = .046) and anxiety (ß = 2.87; 95% CI, 1.49-4.26; P < .001) symptoms compared with men. We observed a difference between women and men in depressive symptoms during the COVID-19 pandemic (mean [SD] PHQ-9 score: 5.05 [6.64] vs 3.52 [5.75]; P = .009) that was not present before the pandemic (mean [SD] PHQ-9 score: 3.69 [5.26] vs 3.60 [6.30]; P = .86). Conclusions and Relevance: This study found significant gender disparities in work and family experiences and mental health symptoms among physician parents during the COVID-19 pandemic, which may translate to increased risk for suicide, medical errors, and lower quality of patient care for physician mothers. Institutional and public policy solutions are needed to mitigate the potential adverse consequences for women's careers and well-being.


Subject(s)
Mental Disorders/diagnosis , Parents , Sex Factors , Work-Life Balance/standards , Adult , COVID-19/prevention & control , Family Relations/psychology , Female , Humans , Male , Mental Disorders/epidemiology , Middle Aged , Psychometrics/instrumentation , Psychometrics/methods , Surveys and Questionnaires , Work-Life Balance/statistics & numerical data
14.
J Gynecol Obstet Hum Reprod ; 51(1): 102251, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1458674

ABSTRACT

PURPOSE: To assess psychological state of women who experienced postponement of ART care during the first COVID-19 wave in a French public ward of reproductive medicine. METHODS: An online anonymous survey was emailed between July and August 2020 to all women whose infertility care, including the first consultation for infertility, have been delayed at the beginning of the COVID-19 pandemic. Anxiety, depression, and stress were assessed using Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS-10). Feelings about COVID-19 outbreak, lockdown and suspension of fertility care were assessed by Multiple-Choice Questions and Visual Analog Scales. RESULTS: 435 women answered to the survey (response rate 34.6%). Mean levels of the HADS-A (anxiety), HADS-D (depression) and PSS10 were respectively 7.58(±3.85), 4.51(±3.48), and 27(±6.75). Prevalence of stress was 50.8% and almost half of women presented clear or suggestive anxiety symptoms (respectively 21.6% and 25.7%). Stress and anxiety rates were much higher than those expected in infertile population. Increased stress was observed in women above 35 years and those stopped 'in cycle' or during pre-treatment for in-vitro fertilization or frozen embryo transfer. Patient with history of depression or anxiety had a higher prevalence of perceived stress (p = 0.0006). Postponement was perceived as 'unbearable' for women experiencing stress (p = 0.0032). After the first wave of pandemic, pregnancy desire remained the same and 84.3% of women wanted to resume fertility care as soon as possible. CONCLUSION: Stopping fertility care during the COVID-19 pandemic had a significant psychological impact on women with an increase of stress, and anxiety. Psychological counseling should always be offered especially during this difficult period.


Subject(s)
COVID-19/complications , Infertility, Female/psychology , Adult , Anxiety/epidemiology , Anxiety/psychology , COVID-19/psychology , Cohort Studies , Cross-Sectional Studies , Depression/epidemiology , Depression/psychology , Female , France , Humans , Infertility, Female/complications , Prevalence , Psychometrics/instrumentation , Psychometrics/methods , Quarantine/methods , Quarantine/psychology , Surveys and Questionnaires
15.
Viruses ; 13(9)2021 09 03.
Article in English | MEDLINE | ID: covidwho-1390791

ABSTRACT

While self-reported Coronavirus Disease 2019 (COVID-19) symptom checklists have been extensively used during the pandemic, they have not been sufficiently validated from a psychometric perspective. We, therefore, used advanced psychometric modelling to explore the construct validity and internal consistency of an online self-reported COVID-19 symptom checklist and suggested adaptations where necessary. Fit to the Rasch model was examined in a sample of 1638 Austrian citizens who completed the checklist on up to 20 days during a lockdown. The items' fatigue', 'headache' and 'sneezing' had the highest likelihood to be affirmed. The longitudinal application of the symptom checklist increased the fit to the Rasch model. The item 'cough' showed a significant misfit to the fundamental measurement model and an additional dependency to 'dry cough/no sputum production'. Several personal factors, such as gender, age group, educational status, COVID-19 test status, comorbidities, immunosuppressive medication, pregnancy and pollen allergy led to systematic differences in the patterns of how symptoms were affirmed. Raw scores' adjustments ranged from ±0.01 to ±0.25 on the metric scales (0 to 10). Except for some basic adaptations that increases the scale's construct validity and internal consistency, the present analysis supports the combination of items. More accurate item wordings co-created with laypersons would lead to a common understanding of what is meant by a specific symptom. Adjustments for personal factors and comorbidities would allow for better clinical interpretations of self-reported symptom data.


Subject(s)
COVID-19/epidemiology , COVID-19/psychology , Checklist , Psychometrics , SARS-CoV-2 , Adolescent , Adult , Aged , Aged, 80 and over , Austria/epidemiology , COVID-19/diagnosis , Child , Comorbidity , Female , Humans , Male , Middle Aged , Psychometrics/methods , Public Health Surveillance , Self Report , Surveys and Questionnaires , Symptom Assessment , Young Adult
16.
PLoS One ; 16(8): e0256636, 2021.
Article in English | MEDLINE | ID: covidwho-1372017

ABSTRACT

INTRODUCTION/BACKGROUND: Dengue fever remains a public health threat despite being preventable. A solution to the constant problem of dengue infection will require active intervention and a paradigm shift. Assessing perceived risk and correlating it with the attitude and practice of the community will help in designing appropriate measures. However, possible instruments for these assessments come with limitations. OBJECTIVE: The aim is to develop and validate a new scoring-based questionnaire, using dual statistical approaches to measure risk perception, attitude, and practices (RPAP) related to dengue in the community. METHODS: The RPAP questionnaire was developed bilingually using the International Society for Pharmacoeconomics and Outcome Research (ISPOR) guidelines. Content analysis was reviewed scrupulously by four expert panels. The initial 35-item scale was tested among 253 Malaysian respondents recruited non-probabilistically via multiple online platforms. Two statistical methods were employed to measure the construct validity: Exploratory Factor Analysis (EFA) as part of the Classical Test Theory (CTT) measurement, while Rasch Measurement Analysis (Rasch) was performed for the Item Response Theory (IRT) measurement. All results were cross-validated with their counterpart to ensure stability. Confirmatory Factor Analysis (CFA) was used to obtain a model fit index. RESULTS: 29 questions were retained after the final analysis. Both EFA and Rasch analysis detect multidimensionality. Nine latent factors were extracted from EFA, while only eight factors remained in the final model following CFA: 1) perceived susceptibility; 2) perceived severity; 3) perceived barrier; 4) perceived benefit; 5) cues to action; 6) self-efficacy; 7) attitude; and 8) practice. All items had adequate factor loadings and showed good internal consistency. The final model after CFA achieved a good fit with an RMSEA value of 0.061, SRMR of 0.068, PNFI of 0.649, and GFI of 0.996. CONCLUSION: The RPAP questionnaire contains 29 items and is a reliable and accurate psychometric instrument for measuring the risk perception of dengue fever, attitude, and practice of the community in dengue prevention. The Rasch measurement provides additional rigour to complement the CTT analysis. This RPAP questionnaire is suitable for use in studies related to dengue prevention in the community.


Subject(s)
Dengue/pathology , Health Knowledge, Attitudes, Practice , Perception , Adolescent , Adult , Female , Humans , Male , Middle Aged , Psychometrics/methods , Risk , Surveys and Questionnaires , Young Adult
17.
Medicine (Baltimore) ; 100(32): e26898, 2021 Aug 13.
Article in English | MEDLINE | ID: covidwho-1358519

ABSTRACT

ABSTRACT: To investigate the anxiety and depression of patients with the coronavirus disease 2019 (COVID-19) who participated in Baduanjin exercise.From February 20, 2020 to March 7, 2020, the Hospital Anxiety and Depression scale (HAD) were used to investigate the anxiety and depression levels of patients with COVID-19 who participated in Baduanjin exercise. Ninety one questionnaires were received, including 40 males and 51 females. Stepwise regression analysis was used to analyze the effects of related factors on anxiety and depression levels.In Square cabin hospital, 91% of patients participated in Baduanjin exercise had no obvious anxiety and 82% had no obvious depression. The scores of anxiety and depression of female patients were significantly higher than that of male patients. Bachelor degree or above with low scores for anxiety and depression. The frequency of Baduanjin exercise was negatively correlated with anxiety and depression score.The development of Baduanjin exercise has a certain positive influence on the COVID-19 patients in the Square cabin hospital, which is conducive to alleviate anxiety and depression symptoms of the patients.


Subject(s)
Anxiety/therapy , COVID-19/complications , Depression/therapy , Exercise Therapy/standards , Adult , Anxiety/psychology , COVID-19/psychology , Cross-Sectional Studies , Depression/psychology , Exercise Therapy/methods , Exercise Therapy/statistics & numerical data , Female , Humans , Male , Middle Aged , Psychometrics/instrumentation , Psychometrics/methods , Surveys and Questionnaires
18.
Diabetes Metab Syndr ; 15(5): 102245, 2021.
Article in English | MEDLINE | ID: covidwho-1356197

ABSTRACT

AIMS: It is important to have valid and reliable measures to determine the psychological impact of COVID-19 in patients with diabetes; however, few instruments have been developed and validated for this population. Therefore, the aim of this study was to validate the Scale of Worry for Contagion of COVID-19 (PRE-COVID-19) in a sample of patients with diabetes mellitus (DM). MATERIALS AND METHODS: A total of 219 patients (66.2% female, mean age 58.5 SD = 18.2) participated, selected through non-probabilistic sampling. The PRE-COVID-19 and the Generalized Anxiety Disorder Scale-2 were applied. Reliability analysis was performed for internal consistency, structural equation modeling and item response theory modeling. RESULTS: The results show that a unidimensional 5-item model presents satisfactory goodness-of-fit indices and excellent reliability values. Likewise, convergent validity between the PRE-COVID-19 and a measure of anxiety is evident. All items present adequate discrimination parameters, allowing for discerning between those patients with critical concern about COVID-19 contagion from those with severe concern. CONCLUSION: It is concluded that the PRE-COVID-19 is an instrument with adequate psychometric properties to measure concern about COVID-19 infection and the emotional impact in patients with DM.


Subject(s)
COVID-19/psychology , Diabetes Mellitus, Type 2/psychology , Psychometrics/methods , Adolescent , Adult , Aged , Aged, 80 and over , Anxiety/diagnosis , Anxiety/epidemiology , Anxiety/etiology , Anxiety Disorders/diagnosis , Anxiety Disorders/epidemiology , Anxiety Disorders/etiology , COVID-19/epidemiology , Cuba/epidemiology , Diabetes Mellitus, Type 2/epidemiology , Female , Humans , Male , Middle Aged , Pandemics , Psychometrics/standards , Surveys and Questionnaires , Young Adult
19.
PLoS One ; 16(6): e0244529, 2021.
Article in English | MEDLINE | ID: covidwho-1280615

ABSTRACT

Attitudes towards open peer review, open data and use of preprints influence scientists' engagement with those practices. Yet there is a lack of validated questionnaires that measure these attitudes. The goal of our study was to construct and validate such a questionnaire and use it to assess attitudes of Croatian scientists. We first developed a 21-item questionnaire called Attitudes towards Open data sharing, preprinting, and peer-review (ATOPP), which had a reliable four-factor structure, and measured attitudes towards open data, preprint servers, open peer-review and open peer-review in small scientific communities. We then used the ATOPP to explore attitudes of Croatian scientists (n = 541) towards these topics, and to assess the association of their attitudes with their open science practices and demographic information. Overall, Croatian scientists' attitudes towards these topics were generally neutral, with a median (Md) score of 3.3 out of max 5 on the scale score. We also found no gender (P = 0.995) or field differences (P = 0.523) in their attitudes. However, attitudes of scientist who previously engaged in open peer-review or preprinting were higher than of scientists that did not (Md 3.5 vs. 3.3, P<0.001, and Md 3.6 vs 3.3, P<0.001, respectively). Further research is needed to determine optimal ways of increasing scientists' attitudes and their open science practices.


Subject(s)
Peer Review, Research/trends , Preprints as Topic/trends , Scholarly Communication/trends , Adult , Aged , Attitude , Croatia , Cross-Sectional Studies , Faculty , Female , Humans , Information Dissemination/methods , Laboratory Personnel , Male , Middle Aged , Peer Review, Research/methods , Physicians , Psychometrics/methods , Surveys and Questionnaires
20.
Diabetes Metab Syndr ; 15(4): 102153, 2021.
Article in English | MEDLINE | ID: covidwho-1252677

ABSTRACT

BACKGROUND AND AIMS: The primary purpose of this study is to examine the psychometric qualities of the Fear of COVID-19 Scale (FCV-19S) in a sample of Egyptian college students. The researchers also aim at exploring the construct validity further through examining the relationship between FCV-19S, wellbeing and life satisfaction in Egyptian universities context. The current study aims to evaluate the psychometric properties of the Arabic version of the Fear of COVID-19 scale among Egyptian population. METHODS: The FCV-19S is translated and validated in Egyptian context. The forward backward translation method is used to translate the English version of the survey into Arabic. The sample is comprised of 1832 Egyptian participants, who have conducted an online survey based on the Arabic versions of FCV-19S. RESULTS: The Cronbach α value for the Egyptian FCV-19S is 0.87, indicating a good internal reliability. The results of the confirmatory factor analysis show that the unidimensional factor structure of the FCV-19S has fitted well with the data. The FCV-19S is significantly correlated with the seven-item survey. Moreover, the results show a significant negative relationship between Fear of COVID-19 and both wellbeing and life satisfaction (r = -0.42, p < 0.001; r = -0.24, p < 0.01.), respectively. CONCLUSION: The study supports the one factor model of FCV-19S scale in Egyptian context. The Arabic scale version in the Egyptian context shows excellent reliability and validity. This ensures a good measure that can be accepted for both academia and practitioners for analyzing ill-effects of pandemic impacts and, thereby, reducing them.


Subject(s)
Anxiety/epidemiology , COVID-19/psychology , Depression/epidemiology , Fear/psychology , Psychometrics/methods , SARS-CoV-2/isolation & purification , Students/psychology , Adolescent , Adult , Anxiety/psychology , COVID-19/transmission , COVID-19/virology , Cross-Sectional Studies , Depression/psychology , Egypt/epidemiology , Female , Humans , Male , Psychometrics/statistics & numerical data , Reproducibility of Results , Surveys and Questionnaires , Universities , Young Adult
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